person
Dr. Stanley Michael Hicks, MD
Diagnostic Radiology Physician in Kelso, Washington
NPI 1336129451

Stanley Michael Hicks is a Diagnostic Radiology Physician based in Kelso, WA and is specialized in Diagnostic Radiology. Stanley Michael Hicks practices in Kelso, WA and has the professional credentials of MD. The NPI Number for Stanley Michael Hicks is 1336129451 and holds a License No. MD00029538 (Washington).

The current practice location address for Stanley Michael Hicks is 700 Lincoln St, Kelso, WA and can be reached out via phone at 360-425-5131.

Location: 700 Lincoln St, Kelso, WA, 98626-1057
person
Provider Profile Details
NPI Number
1336129451
Provider Name
Stanley Michael Hicks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 Lincoln St, Kelso, WA, 98626-1057
Phone Number
360-425-5131
Fax Number
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8136988 05 WA
040803 01 OR OREGON DSHS
34871 01 WA LABOR & INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
700 Lincoln St
City
State
Zip
98626-1057
Phone Number
360-425-5131
Fax Number
person
Provider Business Mailing Address Details
Address
700 Lincoln St
City
State
Zip
98626-1057
Phone Number
360-425-5131
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD00029538 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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